Evidence map›Paper›PMID 12774133›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2003

Necrotizing enterocolitis among neonates in the United States.

Scott O Guthrie, Phillip V Gordon, Victor Thomas, James A Thorp, Joyce Peabody, Reese H Clark

Abstract read
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In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 154 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
154citing papers in PubMed, 8 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

154 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Risk factors for necrotizing enterocolitis in preterm infants: a Meta analysis.Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2022
    Pooled it
  2. Early full enteral feeding for preterm or low birth weight infants.The Cochrane database of systematic reviews · 2020
    Pooled it
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  8. Metaanalysis of the effect of antenatal indomethacin on neonatal outcomes.American journal of obstetrics and gynecology · 2007
    Pooled it
  9. Effect of Maternal Diet on Any Necrotizing Enterocolitis in Neonates: A Randomized Double-Blind Study.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2022
    Trial
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  11. Abnormal heart rate characteristics before clinical diagnosis of necrotizing enterocolitis.Journal of perinatology : official journal of the California Perinatal Association · 2013
    Trial
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  16. Review
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  19. Article
  20. Necrotizing Enterocolitis: What's New and What's Next?International journal of molecular sciences · 2025
    Review

94 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Scott O GuthrieDivision of Neonatology, Department of Pediatrics, University of Tennessee College of Medicine, Chattanooga Unit, USA.
Phillip V Gordon
Victor Thomas
James A Thorp
Joyce Peabody
Reese H Clark

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrior studies have identified individual risk factors that are associated with necrotizing enterocolitis (NEC); however, the small sample sizes of these previous studies have not allowed the analysis of potential interaction between multiple variables and NEC. Our purpose was to describe the incidence and risk factors for NEC in premature neonates admitted for intensive care.

methodsWe identified neonates as having NEC if they met accepted diagnostic criterion for necrotizing enterocolitis. Using a national database, we assessed the association between NEC and a battery of risk factors previously reported in peer-reviewed literature.

resultsThere were 15,072 neonates that met inclusion criteria; 14,682 did not have NEC, while 390 (2.6%) met criterion for NEC. Multivariate analysis showed that low birth weight was the most important risk factor for NEC. Other factors that were associated with an increased risk of NEC were exposure to antenatal glucocorticoids, vaginal delivery, need for mechanical ventilator support, exposure to both glucocorticoids and indomethacin during the first week of life, absence of an umbilical arterial catheter, and low Apgar score at 5 minutes. Length of hospital stay and mortality were higher in neonates with NEC than in neonates without NEC.

conclusionsNEC remains an important cause of morbidity and mortality in prematurely born neonates. In contrast to previous studies, we found that exposure to antenatal glucocorticoids was associated with an increased risk for NEC independent of birth weight.

Indexed as

Infant, PrematureBirth WeightEnterocolitis, NecrotizingFemaleGestational AgeHumansIncidenceInfant MortalityInfant, NewbornIntensive Care Units, NeonatalMaleOutcome Assessment, Health CareRetrospective StudiesRisk FactorsUnited States

Identifiers

PMID12774133

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.